McKinney Christy M, Caetano Raul, Ramisetty-Mikler Suhasini, Nelson Scott
University of Texas Houston School of Public Health, Dallas, TX 75390-9128, USA.
Ann Epidemiol. 2009 Jan;19(1):25-32. doi: 10.1016/j.annepidem.2008.08.008. Epub 2008 Oct 4.
We sought to examine the relation between childhood family violence and intimate partner violence (IPV).
We surveyed 1615 couples from the U.S. household population by using multistage cluster sampling. Childhood family violence measures included moderate and severe child physical abuse and witnessing interparental threats or physical violence. IPV was categorized as nonreciprocal male-to-female partner violence (MFPV), nonreciprocal female-to-male partner violence (FMPV), reciprocal IPV (MFPV and FMPV), and no IPV. We used multinomial logistic regression to estimate unadjusted and adjusted odds ratios (ORs) and 95% confidence intervals (CIs) between childhood family violence and IPV.
Men who experienced moderate (adjusted OR [AOR] 3.9, 95% CI, 1.3-11.8) or severe (AOR 4.5, 95% CI: 1.1-19.3) child physical abuse were at increased risk of nonreciprocal MFPV; a male history of severe childhood physical abuse or witnessing interparental violence was associated with a twofold increased risk of reciprocal IPV. Women who witnessed interparental threats of violence (AOR 1.9, 95% CI, 0.8-4.6) or interparental physical violence (AOR 3.4, 95% CI, 1.5-7.9) in childhood were at increased risk of nonreciprocal FMPV. Women exposed to any type of childhood family violence were more than 1.5 times as likely to engage in reciprocal IPV. Many strong positive ORs had CIs compatible with no association.
We provide new evidence that childhood family violence is associated with an increased risk of nonreciprocal and reciprocal IPV. Treatment providers and policy makers should consider childhood family violence history in both men and women in the context of IPV.
我们试图研究童年时期的家庭暴力与亲密伴侣暴力(IPV)之间的关系。
我们采用多阶段整群抽样法对1615对来自美国家庭人口的夫妇进行了调查。童年家庭暴力的衡量指标包括中度和重度儿童身体虐待以及目睹父母间的威胁或身体暴力。IPV被分为非相互性男性对女性伴侣暴力(MFPV)、非相互性女性对男性伴侣暴力(FMPV)、相互性IPV(MFPV和FMPV)以及无IPV。我们使用多项逻辑回归来估计童年家庭暴力与IPV之间未调整和调整后的比值比(OR)以及95%置信区间(CI)。
经历过中度(调整后OR[AOR]3.9,95%CI,1.3 - 11.8)或重度(AOR 4.5,95%CI:1.1 - 19.3)儿童身体虐待的男性发生非相互性MFPV的风险增加;有严重童年身体虐待史或目睹父母间暴力的男性发生相互性IPV的风险增加两倍。童年时期目睹父母间暴力威胁(AOR 1.9,95%CI,0.8 - 4.6)或父母间身体暴力(AOR 3.4,95%CI,1.5 - 7.9)的女性发生非相互性FMPV的风险增加。遭受任何类型童年家庭暴力的女性参与相互性IPV的可能性是其1.5倍以上。许多强阳性OR的CI与无关联相符。
我们提供了新的证据,表明童年家庭暴力与非相互性和相互性IPV风险增加有关。治疗提供者和政策制定者在处理IPV时应考虑男性和女性的童年家庭暴力史。